ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under SIab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service [t4eter /.)
<br />FINAL
<br />Notes, Remarks, Etc
<br />OWNf,f, AUILT'F,R DErI-ARA-rrcN
<br />I h6.t, arm ,nda paul, oa pqrury rnt I m q@F nDm rh. Co,'rr.c16 l-ic@ l^ for rh. followilq l.ei {S€.701I 5
<br />Builld .d Prca6lih Cod.) Any Cly or C.ut'ry whi.h r.qui6 . Fna ro mlutucl .t6, @F!vc damlirh or lc.n xy
<br />ltru1uc Fu b n! Bue...L Eq!i6 rh. +plaDl torBhFdio frL. reicd flsErn rhr lE or iE i lto!.d F,rd
<br />ro lh. FDvirioN ol rlE Conl,lclor't Lic.iEd Llw {clEpl6 9, Comddcirs *nh Scriou 7000 of oiviriotr I otlh. Buincs 6d
<br />PNfdbB Co&)6rnd h.d3lE i aanpr lh6cfioE dn tlEb-ir hr r.&e.d a.tr9lio. Anteiohb!ofsdbn70Il,by&t
<br />rpf,li.ul for . Fmt rubjdr th. lpplicer ro r .ivil p@i, of @r moE thu fiv. lun&.d dollB ltt00)
<br />Ls osG otrh. FoFty. G rr @ph)c *irh E.a6 s llEt $t mtrpqaiir,!. $ &,tlrw l dld Enru.rE ir d
<br />inrdd.d or ollard for s.l. {Sc.704{, Bui.a dd PEfdioN Ced.: Tn. Co.'n.clor', Licffi Ltw &,6 rel @ly ro m oMr of
<br />rh. FDFry * ho hil(l o inqlrq tt!@ d vlE do6.d' w,t hirell q fi.ylao. rlrcu$ ti! or lE om mploy4
<br />FoviLd thd sh inp.slEE E mi nold.d qofiqd 6r rL. l( tns6!, ttE t inr d int GEi it $ld wahi! * )d
<br />ot.ompldmr rlE orno BuilrE wll h.E EhmtnofFDtiig$atEor.h.dndhildorhFowlltFoFiyturllEFnFFof
<br />-1,
<br />BowE ofir. Fopqly. 6 d.lcivclr.o *rins *ilh lic6!.d 6d.doB kr.onrtud 0r F!)al(Sa 7044. &B'6
<br />lri Ptotsn Cod. fi. ( onl[.lq , Lk.e L.w dG ml @Dly lo D osr6 otp..D.ny $io bsild. or i6Fo!6lhsoa
<br />&d *ho oln,.d! for 3uch Fjar wnh r cofinclo(t) li.@!.d pmulr ro rh.conrlddt l-t@ L!s)
<br />-l
<br />u.r6pl uftla 56l
<br />*,- taf lrl ra
<br />I hn.tr lmrD u&ts Fuxy of Fjury oN ofilE
<br />-lh.vcndwilltui'll.in.Cdifr.ofconortoS.ltlBu.torwt6t@mpadioi.BFlvlj.dlorbySdlion]70oofth.L&, Code lor ilE Ffl,ffi of llt ro* rq siah tlE Fnn ir iErd.
<br />-l h.v. .nd will mlinr.in *ort.a .o6F6.rio. i6uec. s rquir.d by sdrio. 1700 or rlE L!u). Co&. fo. lh. Fldl1m. of
<br />ttE s.rl rd r hi.$ rn. Fma t isd M, wutn orpdsion im. ffi, id ,olicy nuatE e
<br />Poli.y Numhd _l:rpics: -
<br />-l.qiit
<br />lh.l in lh. Ffo.fu. oloE *ott aor whth lho Fi,l i3 isu.n.l lnnlm' 4pLy.ny Frn in uy ffi
<br />s a io b..om iuqd b th. $!rtd onFlsnbn L$ of Crlifomir. &d isc rhr ia t .lx'uld b..68 3ubjal lo llE
<br />q!rt6.of,pd!-nFoyirirBofs61ion1700ofrh.tllvCodct.lill.fonh*Ih6mpltwnhrlEEFovirioB
<br />u ophlq lo onir.t Fdrir an
<br />coil lin6 up ro onc tunrtr.d rho@d dollc (t100
<br />sdrkr 1076.f rh. lrhy(iyl. inrddrxi
<br />,.,.,..vllrl/1rT
<br />I h*h, rfinn undd p.MxyoaFJ'tryrha' I dn lndd D.orshn ol( nau6 ') lconnnoc,nr \virh sNi,rn ?0tx)l oll)r\ Lsnnr 1
<br />of rh. BBIB .d PrefdDE Co{.. r, my li.c i! i. tull ao& in.rci
<br />(olgarJcrr0dituDac-acE!(r
<br />I Eu"* .,Im or& Fdy of FJuy lhl lha. i . olrinsriotr Lndj.s istr, lor rlE FfoilM. ol llE qnt tu unth rhi! Fra ir
<br />isucd(Sd 109?. ('iv C )
<br />AIIUTAITD!(,J8AIIqU
<br />I ffilq .rftn un<ls paBly of F)u r- oG or rlE blb*ins &.bd io6
<br />D.mlition PmnlArbclor fiorificlrion l-cdEal R.3uhiotu{T lc,10. P.n6)
<br />_R.qund krld oa|*ria(i5.
<br />-l
<br />.dift ihd rh. f.da.l rcsuldirB Esrdins Bb.iot .om\.| u. rcl .prlicrbk tu thi FoFl
<br />-l
<br />cdliry rhd I h!\. r.ad th! rppltdb. &t rlnc rhal O. rh1v.hlomdk,n is condt.I s*re to lunplysnh.ll Ciry!6d (1rom,
<br />onlillu6 &d sl!r. l.u3 cb !t to tliltine .odubtr rn EF*'ndn6oflhnciy!ncou y ro dc '4on r
<br />.bor. ,Mrn n d Folrdy t
<br />1(-.{+1
<br />7ZE9)alZZiTUt
<br />APPROVALS
<br />Sub-Panels CME _
<br />Lrida'r Nm
<br />--------T------
|